NPI | 1316336167 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: IL 036160939) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0062803) |
207RB0002X Internal Medicine, Bariatric Medicine (Licence: CO DR.0062803) | |
Enumeration Date | 2015-01-16 |
Last Update Date | 2022-10-04 |